Abstract

Few sexual health studies have examined subgroup differences in youth risk behaviors that sufficiently account for sexual orientation and gender identity. This study used 2017 New York City Youth Risk Behavior Survey data (N = 10,191), a stratified cluster-sampled survey, to examine descriptive differences in the prevalence of risky sexual behaviors, such as failing to use contraception and engaging in sexual activity while intoxicated, among others. Weighted logistic regression analyses revealed that LGBTQ youth were more likely to engage in risky sexual behaviors than non-LGBTQ youth, placing them at increased risk of pregnancy, sexually transmitted infections (STIs), and human immunodeficiency virus (HIV). Results suggest the need for prevention and intervention programs, and more fundamentally, basic health education and care for these adolescents whose risk for sexual and reproductive health concerns outweighs their non-LGBTQ peers.

摘要

很少有性健康研究检查充分说明性取向和性别认同的青年危险行为的亚组差异。本研究使用了 2017 年纽约市青少年风险行为调查数据（N = 10,191），一项分层整群抽样调查，以检查危险性行为流行率的描述性差异，例如未使用避孕措施和在醉酒时进行性活动等。加权逻辑回归分析显示，LGBTQ 青年比非 LGBTQ 青年更有可能从事危险的性行为，使他们面临更高的怀孕、性传播感染 (STI) 和人类免疫缺陷病毒 (HIV) 风险。结果表明需要预防和干预计划，更重要的是，需要对这些青少年的性和生殖健康风险超过非 LGBTQ 同龄人的基本健康教育和护理。